Jonathan Anhduy Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9370T Issued in TX

Practice address

6851 Matlock Rd Ste 111
Arlington, TX 76002-3519

Phone

(817) 419-8871

Fax

(682) 558-8229

NPI assigned

Jun 3, 2019

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Eyecare IncGroup PAC ID 5193001121, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.pham@uprisedirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimum Eyecare, Inc.

  • Optometrist
  • Arlington, TX
  • NPI 1396766309
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1295393411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 MATLOCK RD STE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023519",
            "telephone_number": "817-419-8871",
            "fax_number": "682-558-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 MATLOCK RD STE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023519",
            "telephone_number": "817-419-8871",
            "fax_number": "682-558-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JONATHAN",
        "middle_name": "ANHDUY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9370T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heily Pham, PHARMD
• Hoang-Quan Duong Pham, O.D.
• Jennifer Pham
• Jessica Hanh Pham, PA-C
• Jim Pham
• Khoa Dang Pham, D.D.S.
• Minh-Khuyen Pham, APRN
• Nhan CHI Pham, M.D.
• Nhat-Nam Nguyen Pham, PHARMD, MPA
• Nicole T Pham

• Optometrist in Arlington, TX
• Providers in Arlington, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.